Background:

Poor treatment adherence in people with bipolar disorder is common, and 40% relapse within a year. Education and support assist sufferers to self-manage their condition and reduce hospitalizations, but the challenge lies in providing them in a convenient, private and nonstigmatizing manner.

Computer-based programs are acceptable to patients and efficacious, but debate exists about whether additional support is needed to maximize effects. This paper reports a study evaluating a web-based education program for people with bipolar disorder.

Methods:

Developed at the Black Dog Institute by health professionals, community representatives and consumers, the Bipolar Education Program aims to help individuals and their families better understand the condition, recognize early warning signs, reduce triggers, develop self-management skills and enhance treatment compliance. Modules involve audiovisual presentations, questions and answers, advice from well-known people with bipolar disorder and printouts.

A randomized controlled trial (RCT) is being conducted, comparing three versions of the program (on its own, with email support from an informed person, with informed support plus assistance to implement a ‘stay-well’ plan) to minimal online education. Measures are being taken at pre-, post-, 3 and 6 months follow-up of clinical and psychosocial outcomes, and costs.

Results:

Since its May 2006 launch, the Web site has recorded approximately 2000 visits per month. About 75% of first-time visitors have been women, 55% aged 31-50, 44% with bipolar disorder (predominantly ≤12 months since diagnosis), 28% carers/family/friends and 18% health professionals. The RCT is about to commence, data from which will be presented at the conference.